NPIMap

Organization Active NPI

Fame Public Charter School

  • Local Education Agency (LEA)
  • Newark, CA
National Provider Identifier
1629411665
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
01100170109835 Issued in CA
Legal business name
FAME PUBLIC CHARTER SCHOOL
Practice address
39899 Balentine Dr
Suite 335
Newark, CA 94560-5355
Phone
(510) 687-9111
Fax
(510) 687-9574
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Iqbal Malik
Title
Executive Director
Phone
(510) 490-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 01100170109835 CA Primary

Addresses

Primary practice location

39899 Balentine Dr
Suite 335
Newark, CA 94560-5355

Mailing address

39899 Balentine Dr
Suite 335
Newark, CA 94560-5355
Phone (510) 687-9111

National Provider Directory

National Provider Directory

Locations

39899 Balentine Dr
Ste 335
Newark, CA 94560
Phone (510) 687-9111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1629411665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR",
            "address_2": "SUITE 335",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605355",
            "telephone_number": "510-687-9111",
            "fax_number": "510-687-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR",
            "address_2": "SUITE 335",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605355",
            "telephone_number": "510-687-9111",
            "fax_number": "510-687-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAME PUBLIC CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "IQBAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-490-9990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "01100170109835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.